What is Selective Dorsal Neurotomy?
Selective Dorsal Neurotomy is a modern and effective surgical method used in the treatment of premature ejaculation. In this operation, excessive sensitivity is reduced by microsurgically cutting certain branches of the dorsal nerve, which carries the sensation of the penis.
Who is Selective Dorsal Neurotomy Applied to?
Selective Dorsal Neurotomy, also known as premature ejaculation surgery, is preferred in patients who do not benefit from behavioral therapies such as medication or psychotherapy. The aim of the surgery is to reduce excessive sensitivity at the head of the penis and thus prolong the ejaculation time.
Suitable patients groups are:
- Men who have had a chronic premature ejaculation problem for at least 6 months
- Patients who do not benefit from treatments such as medication or psychotherapy
- Men diagnosed with excessive penile sensitivity through clinical tests
- Men who experience lifelong premature ejaculation complaints starting at a young age
Selective Dorsal Neurotomy – How is the Premature Ejaculation Surgery Performed?
One of the main causes of premature ejaculation is excessive nerve endings or hypersensitivity at the head of the penis. During Selective Dorsal Neurotomy surgery, these nerve endings are selectively cut. By reducing penile hypersensitivity, sexual intercourse duration is prolonged and the men can have better control over ejaculation.
Therefore, this method stands out as one of the scientifically proven surgical treatments for premature ejaculation.
Selective Dorsal Neurotomy Surgery Process
After a detailed preoperative evaluation ,the procedure is performed as follows:
- It is usually performed under local or spinal anesthesia.
- It takes about 30–45 minutes on average.
- Patients can usually be discharged the same day or the next day.
During the procedure, the sensation of the penis is not completely eliminated; only the nerve endings causing excessive sensitivity are selectively cut.
Success Rate of the Selective Dorsal Neurotomy Method
Selective Dorsal Neurotomy has high success rates in the treatment of premature ejaculation.
- Clinical studies have reported a permanent recovery rate of 90% and above.
- In most patients, a significant prolongation of sexual intercourse duration and an increase in satisfaction have been observed.
Possible Risks of Selective Dorsal Neurotomy Surgery
As with every surgical procedure, premature ejaculation surgery may also carry some risks. However, these risks can be minimized in experienced hands.
- Mild pain or swelling in the surgical area
- Temporary loss of sensation
- Rarely, permanent sensory changes
- Very low risk of infection
With the correct technique, permanent loss of sensation or loss of erection after neurotomy surgery is not possible. The nerves that carry sensation in the penis and the nerves responsible for erection are different from each other.
Recovery Period After Selective Dorsal Neurotomy Surgery
The post-surgical recovery process is generally quick and comfortable:
- Patients can usually return to daily life within 1–2 days.
- Sexual intercourse is recommended after approximately 3–4 weeks.
- Clinical studies have shown that most patients achieve significant control over ejaculation after the recovery period.
Frequently Asked Questions (FAQ)
1. Will I experience erection problems after the surgery?
No. Selective Dorsal Neurotomy does not damage the blood vessels or nerves that enable penile erection. The procedure is only performed on superficial nerve endings that cause excessive sensitivity. Therefore, erection functions are preserved.
2. Will there be loss of sensation?
In the early period after surgery, a partial decrease in penile sensation may be observed. However, this is usually temporary and returns to normal within a few weeks. Penile sensation is not completely lost; only excessive sensitivity is reduced.
3. Is the surgery permanent?
Yes. Selective Dorsal Neurotomy is a permanent treatment method. Since the procedure selectively reduces nerve endings, the problem of premature ejaculation is largely corrected on a permanent basis.
4. Is the surgery painful?
The surgery is performed under local or spinal anesthesia. The patient does not feel pain during the procedure. Afterwards, mild pain or swelling that may last a few days can be easily controlled with simple painkillers.
5. When can I return to sexual activity after the surgery?
Sexual intercourse can usually be resumed about 3–4 weeks after the procedure. During this time, the tissues heal completely.
Cost of Selective Dorsal Neurotomy Surgery
The cost varies depending on individual tests and planning.
Measurements are taken during the initial consultation, followed by a transparent and clear pricing process.
Why Dr. Yaşar Başaga?
- Our clinic is one of the first centers in Turkey to perform Selective Dorsal Neurotomy (premature ejaculation surgery).
- Thanks to our long-standing experience, we can closely monitor both short-term and long-term outcomes of the surgery.
- Our treatment approach focuses not only on surgery but also on holistic solutions aimed at improving patients’ quality of life.
- Each patient is evaluated individually, and the most appropriate treatment method is determined. In this way, we achieve safe surgical interventions with the highest success rates.
- The post-operative follows-up process is carried out meticulously; patient satisfaction is prioritized both during the recovery period and in the long term
Appointment&Contact
You can contact us for more information about premature ejaculation treatment or to schedule an appointment.
Our expert team is here to help you with your health and quality of life.
Other Treatments for Premature Ejaculation by Op. Dr. Yaşar Başağa
Op. Dr. Yaşar Başağa offers a wide range of innovative solutions for the treatment of premature ejaculation. In addition to the Selective Dorsal Neurotomy Method for Premature Ejaculation, you can explore the following treatment options: